| NPI | 1235793514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U3567) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10067117) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-06-21 |