| NPI | 1942235536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N9656) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2005008377) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-11-04 |