| NPI | 1992191829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S3357) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2015019331) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-05-02 |