| NPI | 1104053859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60356663) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1- 0035405) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2013-04-04 |