| NPI | 1154776375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 00999) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH APP-000367459) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2026-03-06 |