| NPI | 1174742498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 45566) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57007169) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-06-16 |