| NPI | 1922304153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R3811) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301097165) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2018-03-17 |