| NPI | 1982694139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 36519) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J7293) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-05-01 |