| NPI | 1649613688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T4060) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 34570) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2026-01-22 |