| NPI | 1376735530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N9197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 6757) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2019-12-05 |