| NPI | 1972711547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX P0637) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AL 27826) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-12-04 |