| NPI | 1255777025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S7924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 25640) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2023-02-28 |