| NPI | 1942491063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX P5385) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME109226) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-07-05 |