| NPI | 1083873350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60257983) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT192616) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-01-28 |