| NPI | 1548588056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 266570) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34-011284) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2016-08-12 |