| NPI | 1639532724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301510198) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.139867) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-10-24 |