| NPI | 1417152075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60459498) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57-011805) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2014-07-22 |