| NPI | 1801847587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H0541) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H0541) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-04-01 |