| NPI | 1740456649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA md440124) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R1330) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60388725) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2020-05-19 |