| NPI | 1629089412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L2268) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 20851) |
| 207V00000X Obstetrics & Gynecology (Licence: TX L2268) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-04-12 |