| NPI | 1497002232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: OH 35.139782) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A130593) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.139782) | |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2021-04-21 |