| NPI | 1285800227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 128215) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD436851) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2021-03-06 |