| NPI | 1912138181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60386407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT195880) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-11-04 |