| NPI | 1710220512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: OH 35.154284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018004983) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 60517) | |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: KY 60517) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2025-08-12 |