| NPI | 1639171192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0125) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0060365) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-03-22 |