| 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 |