| NPI | 1194012484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35.143891) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 54386) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2025-04-25 |