NPI | 1528421997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: PA MD465119) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT210500) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2023-08-09 |