| NPI | 1679518096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0037750) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX W1366) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2026-03-12 |