| NPI | 1023334752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD483304) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 48506) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 64982) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2024-06-19 |