| NPI | 1760747968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 157782) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q8038) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-12-01 |