| NPI | 1952599037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N6513) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 256976) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 4192) | |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2023-11-15 |