| NPI | 1093008344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 58561) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 096994) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2024-08-20 |