| NPI | 1962932657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T0553) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10060907) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |