| NPI | 1073530689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY TL6447) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L7491) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-11-18 |