| NPI | 1376997122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 13407741-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35139756) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-08-18 |