| NPI | 1649835711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-02835) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.251668) |
| Enumeration Date | 2019-05-04 |
| Last Update Date | 2025-08-26 |