| NPI | 1861755712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: SC 81947) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 81947) |
| 207V00000X Obstetrics & Gynecology (Licence: TX Q7927) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2022-07-11 |