NPI | 1689930786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301514108) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R0598) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301514108) | |
Enumeration Date | 2012-04-03 |
Last Update Date | 2025-09-28 |