| NPI | 1649432402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P3558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 27434690) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-11-26 |