| NPI | 1023687167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD495560) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT222746) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-06-23 |