| NPI | 1245617505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 52548) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH SX484013) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2025-08-22 |