| NPI | 1760420251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M2827) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 32779) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-04-02 |