| NPI | 1205098597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX V6080) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09306900) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT193453) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2025-10-13 |