| NPI | 1841212081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA G66287) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G66287) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-12-29 |