| NPI | 1497741219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 47558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX W1089) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2026-06-17 |