| NPI | 1114365806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD461597) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 256868) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2018-05-07 |