| NPI | 1558347542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35060953P) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD050026) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-10-30 |