| NPI | 1316986243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35089872) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 219357) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-12-28 |