| NPI | 1639361595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35129280) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P4789) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35129280) | |
| 207V00000X Obstetrics & Gynecology (Licence: IA 37669) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2023-11-03 |