NPI | 1861715096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD60908012) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60908012) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX N3525) | |
Enumeration Date | 2010-03-02 |
Last Update Date | 2021-08-17 |