| NPI | 1821382482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 03600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58.003155) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2019-08-30 |