| NPI | 1023376720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 49687) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.129262) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2020-12-07 |