| NPI | 1366972218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301513387) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0015311) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301112508) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-07-16 |