| NPI | 1245611839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 82319) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT016474) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-04-22 |