| NPI | 1992955900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD C0002592) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002592) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2011-09-12 |