| NPI | 1487683066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L0057) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD491358C) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-08-12 |