| NPI | 1023467693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S6237) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10057637) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-01-27 |