NPI | 1356738744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A146463) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A146463) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2024-04-24 |