| NPI | 1215294814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203819) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.013633) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-07-30 |