| NPI | 1679681514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N9454) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01062406A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-03-18 |