| NPI | 1801156732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8739) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1004414) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2017-03-09 |