| NPI | 1073786752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N6166) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 247772) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2013-05-09 |