| NPI | 1285053389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R8792) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10049689) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-11-29 |