| NPI | 1083934129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A130314) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10037192) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2026-07-14 |