| NPI | 1528398153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OSO14347) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA FD3534927) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2012-11-09 |