| NPI | 1700073962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A116680) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10028135) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2018-03-17 |