| NPI | 1679777247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2019-01647) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N4475) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0026565) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-06-19 |