| NPI | 1821017583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 0420012252) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425579) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-12-04 |