| NPI | 1568414852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME88354) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.127293) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-09-25 |