| NPI | 1407019276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q6207) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.099296) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-01-07 |