| NPI | 1316325798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61666971) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S0073) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2025-09-23 |