NPI | 1548792120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301512489) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301512489) |
Enumeration Date | 2017-04-01 |
Last Update Date | 2025-09-22 |