| NPI | 1578793345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD460113) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248284) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-02-04 |