| NPI | 1083875223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-01437) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS015363) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-08-10 |