| NPI | 1629048574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD041116E) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA 04166E) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2011-03-31 |