| NPI | 1003886391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-058599) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35-058599) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-07-23 |