| NPI | 1376770370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD449143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT195815) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2014-10-21 |