| NPI | 1336494426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME116413) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10034305) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-06-23 |