| NPI | 1740774066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T5587) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10063409) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-08-11 |