| NPI | 1821610387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-01885) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.250007) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-07-14 |