| NPI | 1912567272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.016627) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT019357) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-06-07 |