| NPI | 1144416231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD442845) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT190708) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2011-06-28 |