| NPI | 1083844765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 29437) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD448249) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2016-08-08 |