| NPI | 1215466818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD475039) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT213860) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-09-28 |