| NPI | 1366400210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M3735) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD073270L) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-04-07 |