| NPI | 1134579360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MD D89302) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT210475) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2020-06-11 |