| NPI | 1912206665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35126654) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T5618) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2025-12-05 |