| NPI | 1912024662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD430904) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-093242) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-05-15 |