| NPI | 1235176645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35061606B) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.061606) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-05-04 |