| NPI | 1184832727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N6493) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT189166) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-06-12 |