| NPI | 1083821243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N2417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.010678) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-12-13 |