| NPI | 1508144593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AZ 64211) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301098295) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2022-03-09 |