| NPI | 1316038003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4030) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2007014746) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35094233) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-08-08 |