| NPI | 1104212786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61295847) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S1945) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-06-14 |