| NPI | 1508969015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L8521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L8521) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX L8521) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2026-01-22 |