| NPI | 1154487403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 173581) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: TX H9059) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX H9059) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-08-21 |