| NPI | 1952600744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 310658) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q5511) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2025-04-10 |