| NPI | 1629344767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T3254) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 130776) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-01-19 |