| NPI | 1821418039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX R7221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R7221) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2020-07-14 |