| NPI | 1255351995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L9812) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GU M-1805) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-07-26 |