NPI | 1487845673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX N3333) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N-3333) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2012-10-03 |