| NPI | 1063675676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 299113) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 074253) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD439814) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-07-16 |