| NPI | 1013958404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U4346) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101045320) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-09-07 |