| NPI | 1558459735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX K4759) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K4759) |
| 207V00000X Obstetrics & Gynecology (Licence: TX K4759) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-05-23 |