| NPI | 1174885065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME169196) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458066) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT201990) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-08-09 |