| NPI | 1609082866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA Md60085555) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT186040) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-12-01 |