| NPI | 1376109694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-47503) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T9999) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-08-09 |