| NPI | 1063409274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX K7294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 92-69) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2011-09-07 |