| NPI | 1396034856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 61848) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT199407) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD449471) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2022-07-21 |