| NPI | 1144573148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX S3258) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS016821) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS016821) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX S3258) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2019-08-19 |