| NPI | 1164954996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD472785) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD472785) |
| 286500000X Military Hospital (Licence: PA MD472785) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-06-21 |