| NPI | 1003074881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N6871) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 244432) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-10-01 |