| NPI | 1053517300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A113639) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT190895) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2011-06-15 |