| NPI | 1831534593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-140381) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-00162) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-12-07 |