| NPI | 1285755587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 8833) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 25696) |
| 207V00000X Obstetrics & Gynecology (Licence: TX N7270) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-02-26 |