| NPI | 1922458975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.014849) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 2325) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101022730) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2021-05-10 |