| NPI | 1750492690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX L4212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L4212) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-05-24 |