| NPI | 1659735322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 320392) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.138443) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 320392) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-02-11 |