| NPI | 1770550428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.130866) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 13357) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-03-25 |