| NPI | 1649405994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P6006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0035397) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2019-09-16 |