| NPI | 1790780468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L1469) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX L1469) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2022-03-01 |