| NPI | 1750673554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX T5689) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60541358) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-12-14 |