| NPI | 1780704023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U0475) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP60151339) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-07-14 |