| NPI | 1871937565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD60736513) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60736513) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2021-08-17 |