| NPI | 1588684195 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 243681-1)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M5317)  | 
| Enumeration Date | 2006-07-20 | 
| Last Update Date | 2014-07-18 |