| NPI | 1104926864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 49509) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35085975) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |