| NPI | 1740251610 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N1566)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI DOS-931)  | 
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX N1566)  | |
| Enumeration Date | 2006-01-30 | 
| Last Update Date | 2021-06-25 |