| NPI | 1336366699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 256902) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT188974) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-05-04 |