| NPI | 1467747733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 262048-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458286) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301093607) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2021-12-20 |