| NPI | 1831532522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T2488) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-44081) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 62790) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-08-30 |