| NPI | 1013144955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P5960) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10033775) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-01-11 |