| NPI | 1881679280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD451404) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101052881) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-12-19 |