| NPI | 1669765913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34-010123) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.010123) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-05-20 |