| NPI | 1760774376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD201274) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD455596) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2021-04-12 |