| NPI | 1396164422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A171711) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10049684) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-05-11 |