| NPI | 1295298495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.154357) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10066807) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301509279) | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2025-09-24 |