| NPI | 1790932499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D85185) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N4041) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 57684) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2021-09-30 |