| NPI | 1396184677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX R5077) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ r74084) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-03-04 |