| NPI | 1043571615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P3301) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10031677) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2017-06-26 |