| NPI | 1386207611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301517684) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301517684) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 57.247925) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-07-22 |