| NPI | 1649479767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A93118) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M6606) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-07-21 |