| NPI | 1558522722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A120876) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10032331) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-11-19 |