| NPI | 1912433707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T0612) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 506718538) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-12-15 |