| NPI | 1881778561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H9878) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A60480) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-04-26 |