| NPI | 1104926112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C182388) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S3758) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: LA 022782) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-01-24 |