| NPI | 1386089423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R3757) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10046312) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2022-07-21 |