| NPI | 1487199675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 73365) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S3222) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2023-03-16 |