| NPI | 1134474240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8832) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10043757) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 61309) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-10-17 |