| NPI | 1710170717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 46540) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD429655) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-01-04 |