| NPI | 1255376463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N3178) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A71217) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-11-30 |