| NPI | 1710197256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.093517) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.093517) |
| 207V00000X Obstetrics & Gynecology (Licence: TX N5899) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-12-07 |