| NPI | 1124036496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD446044) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01042700A) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09208100) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-09-02 |