| NPI | 1043630874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S4765) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 274095) |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2024-06-17 |