| NPI | 1073701470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60218197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT190149) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2020-06-22 |