| NPI | 1760973176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 80221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T7051) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-08-18 |