| NPI | 1922488576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301504840) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10052639) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 52218) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301504840) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-03-27 |