| NPI | 1063504983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD475526) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 41648) |
| 207V00000X Obstetrics & Gynecology (Licence: UT 9426158-1205) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-12-08 |