| NPI | 1528257540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A116524) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57013440) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2021-12-01 |