| NPI | 1912158288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 66274) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01201) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-092589) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2016-07-28 |