| NPI | 1164652442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD437933) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 254058) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2013-04-30 |