| NPI | 1114998937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M6807) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60801789) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-05-05 |