| NPI | 1114272994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX P5713) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10034312) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2016-11-28 |