| NPI | 1174833800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.123980) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 47224) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2025-06-13 |