| NPI | 1467831941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD464844) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT208324) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2019-03-26 |