| NPI | 1083876361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 12346) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 390200000X) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-04-04 |