| NPI | 1093112583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO203485) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.013927) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2022-10-05 |