| NPI | 1558526764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD443996) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 249438-1) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-03-17 |