NPI | 1710982277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX HO465) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H0465) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2021-12-02 |