| NPI | 1932696259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T5900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10064216) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-08-15 |