| NPI | 1528445459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S3193) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10053032) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-06-06 |