| NPI | 1427016526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101226514) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35070649V) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |