| NPI | 1023306495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD459758) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301098216) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09768000) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2021-08-11 |