| NPI | 1720375363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 31802) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT199834) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2017-09-29 |