| NPI | 1083938419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-03177) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS016876) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2021-06-14 |