| NPI | 1477998672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R2542) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10046305) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2017-08-10 |