| NPI | 1689930786 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301514108) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R0598) | 
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301514108) | |
| Enumeration Date | 2012-04-03 | 
| Last Update Date | 2025-09-28 |