| NPI | 1306372446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101281836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10059759) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 7485120) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-07-24 |