| NPI | 1518271543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R8159) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096510) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.124980) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2026-05-18 |