| NPI | 1811423767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T0784) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 33143) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-01-12 |