| NPI | 1750663365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q3565) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10041221) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2015-06-30 |