| NPI | 1700837044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N4358) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME146906) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 0057591) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-10-27 |