| NPI | 1639378334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 37819) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N5817) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2015-09-30 |