| NPI | 1801239140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 28934) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.125574) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-12-13 |