| NPI | 1295146637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101275791) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10050317) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2022-10-07 |