| NPI | 1104933274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 50864) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M1166) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-10-20 |