| NPI | 1528419553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 23175) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT212035) |
| 207V00000X Obstetrics & Gynecology (Licence: TX S5369) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX S5369) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2022-12-19 |