| NPI | 1760616312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KS 04-41086) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013026066) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2020-12-30 |