| NPI | 1275536179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q9912) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35076975S) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-11-11 |