| NPI | 1306375159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2023-1163) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 308898) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10060902) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-04-26 |