| NPI | 1619987724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A79564) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX M7592) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX M7592) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-08-05 |