| NPI | 1922204221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301107869) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD439077) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2015-08-24 |