| NPI | 1588727747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N3103) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN10521) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-05-22 |