| NPI | 1912961582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V4809) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2210681) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 221068-1) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-07-30 |