| NPI | 1558420562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K2904) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX K2904) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-05-06 |