| NPI | 1235392010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60208279) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT184201) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-09-06 |