| NPI | 1124643440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V0551) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10070780) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-06-21 |