| NPI | 1134445505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U1213) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M-12515) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60926856) | |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2024-10-30 |