| NPI | 1801182415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4037) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 173303) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-05-20 |