NPI | 1609309046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: GA 101879) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 101879) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 63960) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-11-08 |