| NPI | 1396727814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX G8579) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G8579) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-03-16 |