| NPI | 1528047776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34005380) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 0S008739L) |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2022-01-25 |