| NPI | 1154350239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 1685011205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 1685011205) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2017-02-07 |