| NPI | 1063474864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD423743) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME93807) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-03-07 |