| NPI | 1689800955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 85996) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P7420) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2025-06-27 |