| NPI | 1093155046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V1257) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 7070) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 30070) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2025-08-15 |