| NPI | 1932669694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 13323094-1205) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: UT 13323094-1205) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-09-04 |