| NPI | 1215921218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME113219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L6292) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-01-19 |