| NPI | 1336807056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX 48797) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 47452) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX 00000000) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX 47452) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2025-08-29 |