| NPI | 1194155762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX P9070) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P9070) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2022-02-21 |