| NPI | 1134179492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H9757) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H9757) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-11-22 |