| NPI | 1588286058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 13872125-1205) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 13872125-1205) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 57.249420) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-03-06 |