| NPI | 1659300275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35059713) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35059713K) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-10-29 |