| NPI | 1760692313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01474) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD427525) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-02-26 |