| NPI | 1487066270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q9550) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10051110) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2018-08-06 |