| NPI | 1821249020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD 445543) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08478300) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 48440) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2015-12-07 |