| NPI | 1033379276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 15498) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME112538) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-12-23 |