| NPI | 1770962680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D86903) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT209196) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2019-09-10 |