| NPI | 1770992315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61516043) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T6572) |
| 207V00000X Obstetrics & Gynecology (Licence: RI LP03759) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2024-07-09 |