| NPI | 1225567175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T1359) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 41016) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-05-28 |