| NPI | 1770786345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME163453) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R2659) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-08-21 |