| NPI | 1265653349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F5748) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX F5748) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-09 |