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 |