| NPI | 1821376989 |
|---|---|
| Other Name | NOT APPLICABLE NOT APPLICABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4087) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.059509) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2020-04-16 |