| NPI | 1770784795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: OH 35095542) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.095542) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-01-05 |