| NPI | 1538556444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX 9034211) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101262049) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-03-16 |