| NPI | 1942210398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX L8999) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L8999) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-05-12 |