| NPI | 1710222500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX R3059) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10039747) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2015007401) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2022-02-21 |