| NPI | 1972976363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8685) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10044117) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2016-09-06 |