| NPI | 1851706956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U4599) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 59996) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-12-03 |