| NPI | 1861697427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 128817) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35095607) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2022-02-10 |