| NPI | 1710958400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX s9110) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 21542) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 76946) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2026-05-04 |