| NPI | 1255623658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.138418) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R5185) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2021-01-11 |