| NPI | 1649624727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NC 2020-00255) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-00255) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-09-07 |