| NPI | 1922293356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q2079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 20805) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2022-12-15 |