| NPI | 1518058395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD436709) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 221162) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-09-03 |