| NPI | 1114145802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N9807) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 00000) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-07-23 |