| NPI | 1558688549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD177953) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-34443) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10025799) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-06-30 |