| NPI | 1134578628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS021994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020012806) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OT017130) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-09-09 |