| NPI | 1710195383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 171105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-00489) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-08-19 |