| NPI | 1811463904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX 743194) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 743194) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |