| NPI | 1629286232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 048283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT010127) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-12-12 |