| NPI | 1023243961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD468444) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 269897) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2019-08-09 |