| NPI | 1194818088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K636) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00040023) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2026-06-25 |