| NPI | 1619287570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.136858) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-00445) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2021-01-20 |