| NPI | 1104815521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0042152) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-02604) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-10-09 |