| NPI | 1013586031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 3306201) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT222779) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-08-18 |