| NPI | 1790961753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 41697) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35. 098917) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01089026A) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2023-02-28 |