| NPI | 1790944486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 61366593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P2913) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2024-01-31 |