| NPI | 1265994578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U7929) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101272369) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-08-26 |