| NPI | 1497240899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T5298) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018019436) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-06-06 |