| NPI | 1801865373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 71162) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2013-01956) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 71162) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA 60889516) | |
| 208D00000X General Practice (Licence: HI 13259) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-08-09 |