| NPI | 1740234616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 32169) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S2138) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2025-05-29 |