| NPI | 1629315791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-03420) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S5376) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E11571) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2023-05-09 |