| NPI | 1730442724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX Q9128) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10043644) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2026-08-20 |