| NPI | 1588673974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 59374751205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 40521) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-04-12 |