| NPI | 1972714954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7734894-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 045132) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-12-15 |