| NPI | 1417916776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N0442) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD419734) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A98704) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-11-06 |