| NPI | 1831402908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 57292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT192763) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-09-20 |