| NPI | 1497319685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 79827) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U3385) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-04-24 |