| NPI | 1497133938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 4817) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN UNK) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-08-30 |