| NPI | 1871886523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 58351) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58.003710) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2014-09-26 |