| NPI | 1679533855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L5170) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX l5170) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-04-13 |