| NPI | 1588152409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T5912) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 103939) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238599) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2025-04-28 |