| NPI | 1275565079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD045500E) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: PA MD045500E) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-12-02 |