| NPI | 1295904381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2013-00539) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD429563) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 55624) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2014-12-30 |