| NPI | 1285944462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME120560) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT198292) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2019-08-21 |