| NPI | 1346654704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX T2089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018005676) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2014018370) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-07-12 |