| NPI | 1710089842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35058759V) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-058759) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-05-02 |