| NPI | 1427285972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P7700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT195517) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-03-04 |