| NPI | 1225229164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P4026) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 002906) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2012-09-07 |