| NPI | 1649776220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V2128) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D93900) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-09-23 |