| NPI | 1245895390 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 010815)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U5175)  | 
| Enumeration Date | 2019-05-03 | 
| Last Update Date | 2024-09-10 |