| NPI | 1154619369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q3664) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011016909) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-01-31 |