| NPI | 1003891110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P0651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI 12899) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2020-07-14 |