| NPI | 1417369349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R7153) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10051113) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-06-23 |