| NPI | 1477635332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0006600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD069200L) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-02-13 |