| NPI | 1679669865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K5727) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 304140) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-10-02 |