| NPI | 1396278214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 334404) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.014308) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2025-08-27 |