| NPI | 1104803386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D71002) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD428540) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2011-05-24 |