| NPI | 1346235728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35083566) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35083566) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-01-02 |