| NPI | 1811946346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P7506) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 39414) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-05-09 |