| NPI | 1053401216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX L6358) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX L6358) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-03-01 |