| NPI | 1902192172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.135849) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-6856) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2019-09-10 |