| NPI | 1538504675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD460236) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10046310) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2017-06-19 |