| NPI | 1619183167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N7497) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301086087) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-03-09 |