| NPI | 1508187774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD478557) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME150219) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01074514A) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-10-13 |