| NPI | 1750684718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A116833) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10029217) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 226587) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2015-07-27 |