| NPI | 1588657894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H7068 TX) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 10177) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-11-14 |