| NPI | 1205566171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OT022015) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A25301) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-05-27 |