| NPI | 1578925475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX V5528) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 291613) |
| 207V00000X Obstetrics & Gynecology (Licence: TX V5528) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-01-29 |