| NPI | 1710221304 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8328) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10042989) | 
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX Q8328) | |
| Enumeration Date | 2012-11-20 | 
| Last Update Date | 2025-02-21 |