| NPI | 1104062678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N2973) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BPI-0022356) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2024-11-08 |