| NPI | 1366405052 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX N7926)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35054325H)  | 
| 207V00000X Obstetrics & Gynecology (Licence: TX N7926)  | |
| Enumeration Date | 2006-04-11 | 
| Last Update Date | 2017-04-10 |