| NPI | 1750640892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX S2080) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301100444) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2025-03-20 |