| NPI | 1053377119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD058834L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 180380) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-04-09 |