| NPI | 1992912091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD439618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101882) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-10-06 |