Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 35-097493 | OH |
NPI | 1265441794 |
---|---|
Provider Name | Dr. Brooke Vala Rossi |
First Address | Euclid, OH 44117-1714 |
Second Address | Beachwood, OH 44122-4317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 17/08/2011 |