| NPI | 1710973946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M1733) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M1733) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2013-01-15 |