| NPI | 1417115841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.093877) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35093877) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-12-24 |