| NPI | 1811344815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S8826) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10056742) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-09-01 |