| NPI | 1811076359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD463251) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 241797) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-02-12 |