| NPI | 1831364348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R0918) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 233487) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301099353) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD449720) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2017-01-30 |