| NPI | 1336312560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34-010550) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA DO04685) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-06-23 |