| NPI | 1811293780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A133238) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 130754) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2020-08-24 |