| NPI | 1932177391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K7642) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX K7642) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2012-07-10 |