| NPI | 1609132646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 61414) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 128780) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-07-22 |