| NPI | 1053607390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX SO523) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 24015) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 73821) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-03-15 |