| NPI | 1023251394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 36568) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX p6832) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2018-02-22 |