| NPI | 1518201342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4723) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10039744) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2016-08-30 |