| NPI | 1851679765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA A117562) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A117562) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: AZ 54668) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2024-04-26 |