| NPI | 1639674138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 70871) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A165553) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-06-03 |