| NPI | 1326396078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2012-0625) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2012-0625) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2018-04-13 |