| NPI | 1134548399 |
|---|---|
| Former Name | MARY MICAELA HOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: TX S8762) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-10-25 |