| NPI | 1497173199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX s2399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 299971-1) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-03-31 |