| NPI | 1770045353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 323749) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.247294) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-09-22 |