| NPI | 1124222724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N2891) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0023005) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-10-31 |