| NPI | 1861981094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2023-1078) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.138563) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-09-26 |