| NPI | 1871939173 |
|---|---|
| Former Name | SHEENA OTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R2455) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: ND PT16886) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-11-09 |