| NPI | 1508353343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T4981) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 29076) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-07-26 |