| NPI | 1356319842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7359472-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L2106) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-07-18 |