| NPI | 1194914184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101256033) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57013611) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.096969) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2014-06-03 |