| NPI | 1417028242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD29602) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35068939) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-06-11 |