| NPI | 1528392727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 5220) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N3712) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2012-08-14 |