| NPI | 1114169810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX Q2102) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT187105) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2017-06-13 |