| NPI | 1700290467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2021032827) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 30708) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 2021032827) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2021-09-24 |