| NPI | 1629413224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R4296) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-47934) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-07-05 |