| NPI | 1134564289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T6557) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10046307) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-10638) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2022-05-25 |