| NPI | 1023041076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M2197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 59903) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-11-19 |