| NPI | 1265738090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS018170) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 22473) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-10-16 |