| NPI | 1639189632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2390) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M2390) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-03-04 |