| NPI | 1164840955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R6147) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP61672406) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2025-07-11 |