| NPI | 1720491699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 63617) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 63617) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301105604) | |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2023-12-07 |