| NPI | 1205395423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V7017) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A179037) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 70339) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-09-17 |