| NPI | 1275500712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD437090) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 206983) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-088723) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2014-07-08 |