| NPI | 1972947208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2022-02022) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10045817) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 13-3971298) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-08-31 |