| NPI | 1477783710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P7788) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301094033) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2022-08-08 |