| NPI | 1235129271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K0663) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-48573) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2023-11-08 |