| NPI | 1255651725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P8860) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10037816) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2018-03-17 |