| NPI | 1548604747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10045800) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2021-09-18 |