| NPI | 1356870745 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V7565) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 23322) | 
| 207V00000X Obstetrics & Gynecology (Licence: GA 95486) | |
| Enumeration Date | 2017-06-08 | 
| Last Update Date | 2025-06-12 |