| NPI | 1386781656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 46450) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R0271) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-12-14 |