| NPI | 1841482304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 12861) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD#430488) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2009-01332) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-07-21 |