| NPI | 1619919198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2007015351) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD427407) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-02-28 |