| NPI | 1376722470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q2028) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 37690) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2021-04-02 |