| NPI | 1073999769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 299132) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT209866) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-02-25 |