| NPI | 1194929927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T2340) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 8110) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101017199) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-09-08 |