| NPI | 1457706319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 68678) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S5986) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10057066) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-09-17 |