| NPI | 1548250921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-090522) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L7219) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 36096) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2012-07-17 |