| NPI | 1487882338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD446497) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT192778) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2012-09-05 |