| NPI | 1285691683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD. 202147) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L9547) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-03-17 |