| NPI | 1942349261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 303930) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L7142) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-21 |