| NPI | 1235111758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N8288) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME89755) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-05-13 |