| NPI | 1124096532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H0852) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2025-0170) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-03-10 |