| NPI | 1578613915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2018010680) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2018010680) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX G5543) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-03-12 |