| NPI | 1134410863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301507876) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35132074) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2025-06-10 |