| NPI | 1417211335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8816) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10043643) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-01-05 |