| NPI | 1417159047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M7837) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60739143) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-10-15 |