| NPI | 1053872911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A182301) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U1775) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-09-19 |