| NPI | 1295738615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX p4528) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 39597) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-04-22 |