| NPI | 1841400744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD201299) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S3305) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-09-08 |