| NPI | 1033145685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX G6093) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G6093) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-03-31 |