| NPI | 1023193646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX G3289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 40393) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-10-17 |