| NPI | 1407177165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q1378) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0036908) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-08-07 |