| NPI | 1841686102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1465) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10052489) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-03-04 |