| NPI | 1578547121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX X8157) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 16136) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-09-25 |