| NPI | 1689249757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2025029014) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.251887) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-08-22 |