| NPI | 1700836574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 062193) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP30020661) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-01-07 |