| NPI | 1942645759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S3580) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD460286) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 04-51124) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-07-07 |