| NPI | 1083875652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD479505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA mt193614) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NV 15969) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-10-25 |