NPI | 1649561457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2025-01475) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 294442) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 294442) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2025-07-24 |