| NPI | 1609130392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OR MD218052) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MI 4301100819) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301100819) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-07-26 |