| NPI | 1578706495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00819) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P5170) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2013-0514) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2022-09-26 |