| NPI | 1811083363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N4379) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A82961) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-01-07 |