| NPI | 1790165405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX T1987) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10052641) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NJ 25MA10537200) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-02-23 |