| NPI | 1205992286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD432533) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT184466) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-05-23 |