| NPI | 1669415402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.134793) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2001009168) |
| 207V00000X Obstetrics & Gynecology (Licence: AL OOO26669) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-11-17 |