| NPI | 1154610145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A140267) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q2839) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2021-12-06 |