| NPI | 1003963554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD21095) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101051799) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0047186) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |