| NPI | 1902901085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A61209) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K7634) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-04-20 |