| NPI | 1255702544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T4306) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10053941) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2022-08-11 |