| NPI | 1386601995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD459249) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 35546) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-064332) | |
| 207V00000X Obstetrics & Gynecology (Licence: MS 17452) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-01-13 |