| NPI | 1790840809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 047826) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT182268) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-10-27 |