| NPI | 1619196912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX N8555) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57011129) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-02-27 |