| NPI | 1194768051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2017-0677) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 7828) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX H4668) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-12-04 |