| NPI | 1649260332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L1141) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00041045) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2011-03-09 |