| NPI | 1700917580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M7062) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 050944) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-10-15 |