| NPI | 1679953228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1532) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10052646) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-07-13 |