| NPI | 1003042680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD447684) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: WA MD60529475) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-09-02 |