| NPI | 1821409921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX S1077) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R74406) |
| 207V00000X Obstetrics & Gynecology (Licence: TX S1077) | |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 56325) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2022-08-22 |