| NPI | 1205842010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q5304) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD436010) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 2349431) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-03-07 |