NPI | 1972166288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX U4654) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX U4654) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2023-07-27 |