| NPI | 1760644157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD448665) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT193521) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: GA MD 67499) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2013-05-14 |