| NPI | 1285893735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 1.055227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.010308) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-05-27 |