| NPI | 1114119732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.141435) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 265368) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-11-14 |