| NPI | 1043311194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD214126) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H6542) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-03-17 |