| NPI | 1053807883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS022270) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT018858) |
| 207V00000X Obstetrics & Gynecology (Licence: PA FP1796892) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2024-09-04 |