| NPI | 1760475461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 37113) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01096686A) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.076989) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2026-05-28 |