| NPI | 1710982277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: TX HO465) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H0465) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2021-12-02 |