| NPI | 1477518686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX J5990) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 21720) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-12-09 |