| NPI | 1013262666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4176) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101614) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036.145489) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2025-08-19 |