| NPI | 1982604823 |
|---|---|
| Former Name | SUSAN BOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH NP01621) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH RN155439) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2015-02-26 |