| NPI | 1831579283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S7080) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.013827) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-10-23 |