| NPI | 1255863304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.143865) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MMD89855) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-12-11 |