| NPI | 1518103886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 42540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251181-1) |
| 207V00000X Obstetrics & Gynecology (Licence: TX 42540) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2018-03-28 |