| NPI | 1154737922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1024633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101021434) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS020145) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2026-04-07 |