| NPI | 1588770325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO28040) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.008718) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-12-19 |