| NPI | 1750344883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX M0994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M0994) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-03-07 |