| NPI | 1366574592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 0759) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58002229) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-09-14 |