| NPI | 1194110213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101272295) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 591586) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-07-08 |