| NPI | 1154365799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P1810) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 213341) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-12-17 |