| NPI | 1518582618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 61558741) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10070781) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-06-27 |