NPI | 1104212786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1945) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61295847) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2024-10-02 |