| NPI | 1245467026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P6091) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0033832) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2013-08-12 |