| NPI | 1497917231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 86994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT192625) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD441466) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-02-18 |