| NPI | 1720660434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2025040816) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.251419) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2026-08-11 |