| NPI | 1679765887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0008467) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD427983) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2014-03-17 |