| NPI | 1578538823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L9697) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L9697) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-08-16 |