| NPI | 1699760108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD036683) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101235048) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2017-01-18 |