NPI | 1417042854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OR MD204288) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 743) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD00040252) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-11-08 |