| NPI | 1063603892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD26005) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.094288) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2023-09-25 |