| NPI | 1154612760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX S8781) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25ma09494300) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX S8781) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2023-07-12 |