| NPI | 1447243142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 83418) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K4683) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2012-00907) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2021-08-27 |