| NPI | 1770770695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A106895) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2007-0455) |
| 207V00000X Obstetrics & Gynecology (Licence: TX N2198) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-02-06 |