| NPI | 1376992727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2023032677) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2023032677) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 67322) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-01-12 |