| NPI | 1740579150 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX s3693) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0079627) | 
| Enumeration Date | 2011-04-06 | 
| Last Update Date | 2023-07-28 |