| NPI | 1215299540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME128523) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458992) |
| 207V00000X Obstetrics & Gynecology (Licence: FL TRN17215) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-12-17 |