| NPI | 1679596118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD439129) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M0823) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD179448) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-02-04 |