| NPI | 1962515890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX G5465) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA 35834) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-10-18 |