| NPI | 1205817160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M2105) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2015-02-25 |