| NPI | 1225418932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S2155) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10052644) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-02-07 |