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 |