| NPI | 1184740284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 52512-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-069786) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-02-05 |