| NPI | 1811191976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD463879) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2007-01050) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-09-24 |