| NPI | 1609085042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N3360) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.010942) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-01-18 |