| NPI | 1730371295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 25595) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-097575) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2018-08-14 |