| NPI | 1912151044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N2815) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 101182) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 250935-1) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2023-12-11 |