| NPI | 1831174820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J3594) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 86762) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101273169) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME151944) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-04-17 |