| NPI | 1730489873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 5134) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N3684) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2011-09-12 |