| NPI | 1861079584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 85365-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R6148) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2025-06-05 |