| NPI | 1295180420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 13213020-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 59832) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-07-20 |