| NPI | 1689837015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T2754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA VAD000) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 063073) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-05-20 |