| NPI | 1376574319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX G6113) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G6113) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-09-11 |