| NPI | 1700297140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 332745) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10050308) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2022-11-21 |