| NPI | 1134183114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J9718) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A17489) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-02-22 |