| NPI | 1235525452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S2611) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP 10053066) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-01-12 |