| NPI | 1891897690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35069678B) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 37371) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-11-12 |