| NPI | 1881251239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX U2813) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10068498) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2023-03-22 |