| NPI | 1154850386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101283109) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.142151) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2024-10-07 |