| NPI | 1881858744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P6836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008018596) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 26566) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-09-09 |