| NPI | 1053415372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 78792) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD430200) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2024-10-23 |