| NPI | 1083687628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 18421) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J2899) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-11-02 |