NPI | 1578890604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX P4599) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P4599) |
207V00000X Obstetrics & Gynecology (Licence: NY 253194) | |
Enumeration Date | 2009-11-10 |
Last Update Date | 2024-07-29 |