| NPI | 1801450317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 14618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10066805) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-11-08 |