| NPI | 1861506032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: TX H8308) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: TX H8308) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX H8308) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-03-07 |