| NPI | 1528220209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 26352) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M9171) |
| 207V00000X Obstetrics & Gynecology (Licence: IA 40230) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-06-23 |