| NPI | 1568662567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 54128) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N8452) |
| 207V00000X Obstetrics & Gynecology (Licence: UT 8237613-1205) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2014-09-15 |