| NPI | 1558332684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-00121) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD417391) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ MA076141) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-08-07 |