NPI | 1710248893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX G9691) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX G9691) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2015-06-01 |