| NPI | 1689837015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T2754) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 063073) |
| 207Q00000X Family Medicine (Licence: GA VAD000) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-09-12 |