| NPI | 1184676710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N5148) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 205661) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-06-16 |