| NPI | 1578658654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K7545) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101012247) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 3325) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-12-03 |