| NPI | 1629469333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 9883-851) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.071711) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-01-05 |