| NPI | 1376896472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX Q4168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10039751) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2025-03-21 |