| NPI | 1003834995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX T3072) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 3478) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 2018041689) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-08-24 |