| NPI | 1588074447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AL 42960) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201197) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 342117) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-11-22 |