| NPI | 1497077218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P2105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A107311) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2022-02-11 |