| NPI | 1134382534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R3715) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008016199) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-02-20 |