| NPI | 1679984363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: TX R9422) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0050318) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-02-15 |