| NPI | 1578943494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T2790) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10053068) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-09-29 |