| NPI | 1245594241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 043024) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME79820) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |