| NPI | 1104012749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD442641) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT190343) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-05-22 |