| NPI | 1306009717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0032426) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN R2843) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2020-04-02 |