| NPI | 1962404194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 47224) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K7423) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-11-17 |