| NPI | 1154531705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P1896) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME98423) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-12-08 |