| NPI | 1144601212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1489) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2015030120) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2015018594) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-01-26 |