| NPI | 1992934210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60781871) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10035518) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2020-12-07 |