| NPI | 1790949600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: VA 0101260252) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P8987) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-08-11 |