| NPI | 1235691403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX none) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U2176) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-08-03 |