| NPI | 1881471340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 37604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-177455) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2025-06-11 |