| NPI | 1982993572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 52800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT199403) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD4054451) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-07-23 |