NPI | 1518302991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX R1738) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 191682) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2024-02-02 |