| NPI | 1720288228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.010204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 2384) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-01-21 |