| NPI | 1558494179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00047896) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD427281) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-05-24 |