| NPI | 1336132505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P7859) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A78491) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2016-10-13 |