| NPI | 1497738033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 71529) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K5875) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2024-02-16 |