| NPI | 1043576127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R4918) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 75714) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2017-11-28 |