NPI | 1467748855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD61660374) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A135672) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2025-06-13 |