| NPI | 1063770055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U2329) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 2440) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2023-06-22 |