| NPI | 1306019195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 222762) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A114863) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD451300) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2022-07-21 |