| NPI | 1396188157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101026746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R1126) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-11-08 |