NPI | 1770259483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 50.007823RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007823RX) |
Enumeration Date | 2021-08-22 |
Last Update Date | 2022-11-08 |