| NPI | 1053586966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD457062) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 264795) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2016-05-17 |