| NPI | 1568722312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX S6652) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME127974) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10042801) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX S6652) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2022-07-11 |