| NPI | 1871773309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.016159) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M5364) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2023-06-01 |