| NPI | 1316930621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35054486) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 30098) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-02-14 |