| NPI | 1700177748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S3172) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.128378) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2020-11-03 |