| NPI | 1578890604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P4599) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 253194) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2024-05-20 |