| NPI | 1730507146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX U6318) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD046446) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-02-12 |