| NPI | 1780685727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: WV 17665) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OH 35076094P) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2019-10-02 |