| NPI | 1598768749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 303382) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L9182) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-03-04 |