| NPI | 1457762148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-45378) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 30937) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0050314) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2018-07-25 |