| NPI | 1578882114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS017186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT013471) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2017-01-05 |