| NPI | 1669731329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 142909) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10043758) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2016-06-30 |