| NPI | 1629362561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD463007) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD207840) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-01-18 |