| NPI | 1083611628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L8126) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L8126) |
| 207V00000X Obstetrics & Gynecology (Licence: OK 24991) | |
| 207V00000X Obstetrics & Gynecology (Licence: OK 34806) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-12-27 |