| NPI | 1750918983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 202428) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.151688) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-01 |