| NPI | 1376868760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P9231) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1- 0036616) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-10-09 |