| NPI | 1205801826 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-5850)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K2064)  | 
| Enumeration Date | 2006-02-17 | 
| Last Update Date | 2013-11-21 |