| NPI | 1285839803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-01780) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2011-0232) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT191581) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-08-21 |