| NPI | 1972920148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP61162803) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34013456) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-02-03 |