| NPI | 1952600744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 14240834-1235) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 310658) |
| 207V00000X Obstetrics & Gynecology (Licence: TX Q5511) | |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2025-11-11 |